Cleft Lip and Palate Surgery during COVID-19 Pandemic.
Cleft Lip and Palate Surgery during COVID-19 Pandemic.
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DOI：
10.1097/gox.0000000000003692
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发表时间：
2021-06
期刊：
影响因子：
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通讯作者：
Gavino-Gutierrez A
中科院分区：
文献类型：
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作者：
Rossell-Perry P;Gavino-Gutierrez A
COVID-19大流行对生活的各个领域都造成了负面影响，尤其是在卫生领域。患有不同疾病的患者在手术治疗方面受到延误。唇腭裂是一种常见的先天性疾病，需要早期的跨学科关注，并且在COVID-19大流行期间对其进行手术治疗的安全性存在不确定性。本研究的目的是评估COVID-19大流行期间在秘鲁利马的一家高容量唇腭裂中心使用的唇腭裂手术方案的安全性。这是一项在COVID-19大流行之前和期间接受手术的两组非综合征性唇腭裂患者之间的比较研究。通过评估术前状况、手术和非手术术后结局和并发症收集数据。观察到两组患者初次手术时的年龄和手术时间存在显著差异。两组在术前情况、术后结局和并发症方面的差异无统计学意义。COVID-19感染率为1. 25%。根据观察到的术后结果，在COVID-19大流行期间用于唇腭裂修复的手术方案是一种安全的方法。然而，COVID-19疫情导致初次唇腭裂修复术的时间延迟，其长期影响应予以充分评估。
The COVID-19 pandemic has caused a negative impact in every sector of life, especially in the health sector. Patients with different medical conditions are suffering delays in their surgical treatments. Cleft lip and palate is a common congenital disease that requires early interdisciplinary attention, and there is uncertainty about the safety of performing its surgical treatment during the COVID-19 pandemic. The objective of this study was to evaluate the safety of a surgical cleft protocol for cleft lip and palate used during the COVID-19 pandemic at a high volume cleft center in Lima, Peru. This is a comparative study between two groups of patients with nonsyndromic cleft lip and palate who were operated on before and during the COVID-19 pandemic. Data collection was done by evaluation of presurgical condition, and surgical and nonsurgical postoperative outcomes and complications. Significant differences were observed regarding both the age of the patients at the time of the primary surgeries, and surgical times between the two groups. Nonstatistical significant differences were observed between the two groups regarding the presurgical conditions, postoperative outcomes, and complications. Rate of COVID-19 infection was 1.25%. The surgical protocol used for cleft lip and palate repair during the COVID-19 pandemic is a safe method based on the observed postoperative outcomes. However, the COVID-19 pandemic caused delays of the time of the primary cleft lip and palate repair, and its long-term impact should be well evaluated.